DR. BOBBY GLENN BRASWELL JR. DDS
NPI 1295949386
Dentist - General Practice in Petal, MS

Active since May 09, 2007PECOS Enrolled
139 S MAIN ST, PETAL, MS 39465(601) 584-9481(601) 544-5161 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bobby Glenn Braswell Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOBBY GLENN BRASWELL JR. DDS (NPI 1295949386) is an individual general practice provider in Petal, Mississippi, licensed in Mississippi (3411-07) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295949386
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BOBBY GLENN BRASWELL JR.Credential: DDS
Location Address139 S MAIN STPetal, MS 39465
Mailing Address139 S Main StPetal, MS 39465 · (601) 584-9481 · Fax (601) 544-5161
Fax(601) 544-5161
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateOctober 17, 2014
NPI 1295949386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 3411-07
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
139 S MAIN ST, Petal, MS 39465

Other Identifiers 1

Other12264946MS · Caqh Id#

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bobby Glenn Braswell Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39465 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
139 S MAIN ST
PETAL, MS 39465
Dentist (General Practice)
139 S MAIN ST
PETAL, MS 39465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Braswell's NPI number?

The NPI number for Bobby Braswell is 1295949386. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Bobby Braswell located?

Bobby Braswell practices at 139 S Main St, Petal, MS 39465. The listed phone number is (601) 584-9481.

What is Bobby Braswell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bobby Braswell enrolled in Medicare?

Yes. Bobby Braswell is registered in the Medicare PECOS enrollment system.

What insurance does Bobby Braswell accept?

Health plans from Delta Dental PPO list Bobby Braswell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bobby Braswell was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.